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minutes; 11/25/18, 5 minutes; 12/2/18, 5 minutes; 12/3/18, 5 minutes: 12/4/18. 5 minutes: 12/21/18. 5 minutes) (1/22/19, 5 minutes) 19, 5 minutes; 5/1/19, 5 minutes; 5/2/19, 5 (11/11/18, 5 minutes) (12/14/18, 5 minutes; 12/15/18, 5 minutes ‘> minutes, 3/27/19, 5 minutes: 3/30/19, 5 minutes; 3/31/19, 5 17/19.5 minutes: 4/20/19, 5 minutes; 4/21/19, 5 minutes) (11/7/18, 5 minutes; 11/9/18, 5 minutes: 11/10/18. 5 minutes. 11/11/18, 5 minutes) (12:2/18, 2 mimutes) 3/2/19, 4 minutes) (4/7/19, 5 mimutes) minutes, Amentcaw crv Most disturbing, there were numerous cases in which a patient was moved toa HBERTIESeNION _Jower level of suicide watch, or removed from watch entirely. after encounters that Tasted 5 minutes or less. For example: (11/7/18, removed from suicide watch after 5- (4/18/19, moved from 10-minute to 30-minute ‘watch after 5-minute evaluation: 3/17/19. moved from constant to 10-minute ‘watch after S-minute evaluation: 3/18/19. moved from 10-minute to 30- aninute watch after S-minute evaluation) (11/26/18, removed from suicide watch after S-munute evaluation, 12/0/18, removed from suicide watch after S-minute evaluation) (4/22/19, moved from constant to 10-minute ‘watch alter S-mumute evaluation: 4/23/19, moved from 10-minute to 30- minute watch afier S-minute evaluation; 4/30/19, moved from 10-minute to 30-minute watch after 5-minute evaluation) (11/10/18, moved from 10-minute to 30-minute ‘watch after 9-munute evaluation: 11/21/18, removed from suicide watch after S-minute evaluation) ar ite RN) (1/26/19, moved from 10-minute to 30- Tunure wate ater S-nuae evaluation) Eee - 13/18, moved from 10-minute to 30-minute ‘Wale after -Iunufe evaluation: 12/18/18, removed from suicide watch after S-minute evaluation; 3/28/19, moved from 10-minute to 30-minute ‘watch after 5-minute evaluation; 4/18/19, moved from 10-minute to 30- Case 2:12-cv-00601-ROS Document 3255-1 Filed 05/20/19 Page 6 of 151 minute watch after 5-minute evaluation: 4/22/19, removed from suicide watch after 5 minute evaluation) (11/29/18, removed fiom suicide watch after 5- Tunure evaluauou, 123/18, removed from suicide watch after S-minute evaluation (11/8/18, moved from 10-minute to 30-minute ‘Wale afer S-liute evaluation; 11/15/18, removed from suicide watch after 5-minute evaluation) (4/6/19, moved from constant to 10-minute Walch alter >-miure evaluation) ‘The relevant OMIS notes are attached as Exhibit 1 Five minutes — or two minutes —is not sufficient time in which to provide mental health treatment. It is certainly not sufficient time in which to make the critically important judgment whether a patient is at risk of killing himself. See Doc. 2091 at 3 (patient killed himself a few hours after being taken off suicide watch): Exhibit 2 taken off suicide watch after 3-minute encounter SENT LOWE GAs Later. “We look forward to your response within 30 days as required by the Stipulation. ‘Very truly yours, ck David C. Fathi Enclosures Ce: All counsel

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